Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET (PRESIDENT)
(414) 389-2377
Entity
Organization
Contact information
Practice address
N168W20060 MAIN ST, JACKSON, WI 53037-9382
(262) 677-3661
Mailing address
N168W20060 MAIN ST, JACKSON, WI 53037-9382
(262) 677-3661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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